Skip to main content
Thorax logoLink to Thorax
. 1987 Jun;42(6):462–465. doi: 10.1136/thx.42.6.462

Effect of nedocromil sodium on sulphur dioxide induced bronchoconstriction.

C M Dixon 1, R W Fuller 1, P J Barnes 1
PMCID: PMC460780  PMID: 2821643

Abstract

Nedocromil sodium is a pyranoquinoline derivative that has been developed for the treatment of asthma. We report the results of a double blind randomised study of the effect of two doses of nedocromil sodium (2 and 4 mg) and matched placebo, delivered by metered dose pressurised aerosol, on bronchoconstriction induced by sulphur dioxide in six asthmatic subjects. Nedocromil sodium had no effect on baseline lung function. The magnitude of sulphur dioxide induced bronchoconstriction monitored by partial forced expiratory flow at 30% of reference vital capacity was significantly inhibited by nedocromil sodium 4 mg (p less than 0.05) but not by 2 mg. The maximum changes after placebo and after nedocromil 2 mg and 4 mg were -44.7, -32.7, and -11.8 l min-1. The area under the curve monitoring the effect over 6 minutes was significantly inhibited by both doses to the same extent, the mean changes after placebo and after nedocromil 2 mg and 4 mg being -349.3, -31.2, and 44.6 l. Dyspnoea was monitored by visual analogue scale and showed a significant reduction over 6 minutes with both doses of nedocromil. After placebo and after nedocromil 2 mg and 4 mg the mean maximum changes were 31.5, 13.7, and 15.7 mm, and the mean changes in area under the visual analogue scale-time curve were 289, 194, and 151 mm.min respectively.

Full text

PDF
462

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams L., Chronos N., Lane R., Guz A. The measurement of breathlessness induced in normal subjects: individual differences. Clin Sci (Lond) 1986 Feb;70(2):131–140. doi: 10.1042/cs0700131. [DOI] [PubMed] [Google Scholar]
  2. Boushey H. A., Richardson P. S., Widdicombe J. G., Wise J. C. The response of laryngeal afferent fibres to mechanical and chemical stimuli. J Physiol. 1974 Jul;240(1):153–175. doi: 10.1113/jphysiol.1974.sp010605. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dixon M., Jackson D. M., Richards I. M. The effects of sodium cromoglycate on lung irritant receptors and left ventricular cardiac receptors in the anaesthetized dog. Br J Pharmacol. 1979 Dec;67(4):569–574. doi: 10.1111/j.1476-5381.1979.tb08703.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Eady R. P., Greenwood B., Jackson D. M., Orr T. S., Wells E. The effect of nedocromil sodium and sodium cromoglycate on antigen-induced bronchoconstriction in the Ascaris-sensitive monkey. Br J Pharmacol. 1985 Jun;85(2):323–325. doi: 10.1111/j.1476-5381.1985.tb08864.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lal S., Malhotra S., Gribben D., Hodder D. Nedocromil sodium: a new drug for the management of bronchial asthma. Thorax. 1984 Nov;39(11):809–812. doi: 10.1136/thx.39.11.809. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. NADEL J. A., SALEM H., TAMPLIN B., TOKIWA Y. MECHANISM OF BRONCHOCONSTRICTION DURING INHALATION OF SULFUR DIOXIDE. J Appl Physiol. 1965 Jan;20:164–167. doi: 10.1152/jappl.1965.20.1.164. [DOI] [PubMed] [Google Scholar]
  7. Shaw R. J., Kay A. B. Nedocromil, a mucosal and connective tissue mast cell stabilizer, inhibits exercise-induced asthma. Br J Dis Chest. 1985 Oct;79(4):385–389. doi: 10.1016/0007-0971(85)90073-7. [DOI] [PubMed] [Google Scholar]
  8. Sheppard D., Epstein J., Bethel R. A., Nadel J. A., Boushey H. A. Tolerance to sulfur dioxide-induced bronchoconstriction in subjects with asthma. Environ Res. 1983 Apr;30(2):412–419. doi: 10.1016/0013-9351(83)90227-x. [DOI] [PubMed] [Google Scholar]
  9. Sheppard D., Wong W. S., Uehara C. F., Nadel J. A., Boushey H. A. Lower threshold and greater bronchomotor responsiveness of asthmatic subjects to sulfur dioxide. Am Rev Respir Dis. 1980 Dec;122(6):873–878. doi: 10.1164/arrd.1980.122.6.873. [DOI] [PubMed] [Google Scholar]
  10. Tan W. C., Cripps E., Douglas N., Sudlow M. F. Protective effect of drugs on bronchoconstriction induced by sulphur dioxide. Thorax. 1982 Sep;37(9):671–675. doi: 10.1136/thx.37.9.671. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. WIDDICOMBE J. G. Receptors in the trachea and bronchi of the cat. J Physiol. 1954 Jan;123(1):71–104. doi: 10.1113/jphysiol.1954.sp005034. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Wallenstein S., Zucker C. L., Fleiss J. L. Some statistical methods useful in circulation research. Circ Res. 1980 Jul;47(1):1–9. doi: 10.1161/01.res.47.1.1. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES